| Coppermine Madera Canyon Llc | |
|
685 S Pecan Tree Ln Green Valley AZ 85614-5114 | |
| (520) 625-1600 | |
| (520) 838-0865 |
| Full Name | Coppermine Madera Canyon Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 685 S Pecan Tree Ln, Green Valley, Arizona |
| Authorized Official Name and Position | Jenny Garcia Rocha (SR TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppermine Madera Canyon Llc 685 S Pecan Tree Ln Green Valley AZ 85614-5114 Ph: (520) 625-1600 | Coppermine Madera Canyon Llc 685 S Pecan Tree Ln Green Valley AZ 85614-5114 Ph: (520) 625-1600 |
| NPI Number | 1679326938 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679326938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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